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Chair:  Robert DieterleViet NguyenAnupam Goel

Scribe: Vanessa Candelora
 

Minutes Approved as Presented 



Info

This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."

Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Reminder: conference call structure & name changes
  1. Burden Reduction (CRD/DTR/PAS) Implementer Support Call - Wednesday, DTR time slot (11at ET)
  2. Burden Reduction (CRD/DTR/PAS) Supplemental Examples - Friday, PAS time slot (3pm ET)
  3. Burden Reduction (CRD/DTR/PAS) SCRUM for Connectathon-like testing - bi-weekly on Mondays - Contact Viet and Vanessa if you want to join to further test your implementation against others end points across examples. 


Connectathon 26

January 13-15, 2021



Weekly testing (Connectathon Continued) SCRUM ongoingTaking the framework and proofing out the interoperability of the applications.  Prep for Jan Connectathon. 

Thanksgiving Next Week AvailabilityCancel for next week

Lab example demonstration (Reminder to Record)

Sreekanth gave example - recording to be added here. 

Context: Order of Hereditary Oncology Cancer Screening lab, walked through CRD, DTR, and PAS - how they can link together.  

Assumes the the submitter is the ordering provider and then submits it (using task resource) and send to a specific lab. 

  • CDS Hooks varies from EHR to EHR, those that adopt DV IGs would support CDS Hooks. 
  • Contained resource to also work with the Post Acute Care guide.  (still working through a few items here)
  • In the order on the first screen, CPT codes were used here, but likely there would be a mapper for LOINC, SNOMED on the CRD side (aligned with recent discussions)
  • Rendering provider would send the questionnaire for the ordering provider to see it in read-only mode, per last week's discussion. Documents would be selected to add and then Ordering provider submits the PA. 
  • Discussion around including the relatives' name in the questionnaire. This is not a usual occurrence, but in this example, the questionnaire included a question if the relative was available for further testing/further information and so it was included. This is current practice today, but keep in mind that Legal, Security, and Privacy rules should apply to this process, please keep that in mind.  
  • Best Practice for questionnaires - Bob to talk with Lloyd.  
  • Information for genetic counseling, diagnostics, etc.  would be pre-filled automatically, but the family history or other items that are not available in the EMR would be asked in the questionnaire. 
  • Should the resources attached be bundles instead of individual resources? e.g. genetic counseling using CQL, pre-fill the questionnaire and goes to the rendering provider

Next Steps: Mettles working with CodeX looking at Procedures, Medications, and others 





Continuation of workflow on Ordering vs Rendering Provider scenario variations

Next time!



Additional Notes






Next agenda
  • Question- Hold meeting Cancel next week (Thanksgiving week)?, Happy Thanksgiving! Resume on 12/4

 Adjournment

Adjourned at at 3:48pm EST


Outline Reference

Supporting Document

Minute Approval



Tasks

  •  Larry Decelles to share his work with Medicare on a future call.  
  •   

Attendees (35 attendees)

Present

Name

Affiliation

  •   
Enablecare
  •   
Stratametrics
  •   
Larry DecellesMITRE
  •   
Point of Care Partners
  •   
BCBSAL
  •   

Emily Calvert

CMS
  •   

Erica Ross

CMS
  •   
Heather McComasAMA
  •   
HealthShare Exchange (HSX)
  •   

Kelly Anderson

BCBSAL
  •   
InterSystems
  •   

Mark Mundt

InterSystems
  •   
Megan SoccorsoCigna
  •   

Mike Funk

Humana
  •   
Nancy SpectorAMA
  •   
AMA
  •   
Tori WillowsWellcare
  •   
BCBSFL
  •   
Aim/ Anthem
  •   

Marci Maisano

Cigna
  •   
Edifecs
  •   
Edifecs
  •   
United Healthcare
  •   
Anthem
  •   
Christy Dodson
  •   
BCBSAL
  •   
Laura Hoffman
  •   
WPS Health Solutions
  •   
Optum
  •   
Edifecs
  •   
CMS
  •   
pjmconsulting
  •   
CAQH
  •   
Raj
  •   
Ray WilkersonScope Info Tech
  •   
BCBST
  •   
Taha AnjarwallaCAQH
  •   
Tom
  •   
Sonja Ziegler
  •   
Intersystems
  •   
Nandini GangulyEMDI/ Scope Info Tech
  •   
BCBSM
  •   
Kasi
  •   
EMDI Team
  •   
Anthem
  •   
Bart CarlsonAzuba
  •   
Cambia
  •   
Duane WalkerBCBSM
  •   
InterSystems
  •   
Tibco
  •   
Louis BedorCognosante
  •   
Anthem
  •   
CMS
  •   
CMS
  •   
IBC
  •   
Anthem
  •   
Rian
  •   
Palmetto gba
  •   
Sandeep
  •   
Sreekanth PuramMettle Solutions
  •   
Allscripts
  •   
James Gallagher Jr.Premera
  •   
Joseph Figueroa
  •   
Tony LittleOptum
  •   
Pallavi TalekarEMDI/ Scope Info Tech
  •   
Thomas KesslerCMS
  •   
Todd Omundson
  •   
ZeOmega
  •   
Emily TenEyckCAQH
  •   
Mark Taylor
  •   
Julia SkapikCognitive Medicine
  •   
Michael BrodyCME Online
  •   
Michelle ZuttermanHumana
  •   
Surescripts
  •   
Laurie DarstMayo
  •   
Marianna SinghCAQH
  •   
Labcorp
  •   

  •   
Mariana SinghCAQH
  •   
Madhuri
  •   

  •   
Bob THompson
  •   
Ben LangleyMITRE
  •   
Michelle PriestAllscripts
  •   
Michael Hurley
  •   
Cedars-Sinai
  •   
Roland Gamache
  •   
Dave HCRT INC
  •   
Barbara WoodPNC
  •   

  •   
Padma KondaveetiMettles
  •   
Premier
  •   
Cambia
  •   
Judy Williamson
  •   
Matthew Maurer
  •   
Smitha HarishMettles
  •   
BC Idaho
  •   
Michael LunzerAltegra Health
  •   
Rush
  •   
Shilesh NairGdit
  •   
Steve Favilla
  •   
Optum
  •   
Texas Health
  •   
Keya ShahCasnet
  •   
Epic
  •   
Josh Lamb
  •   

  •   
Edifecs
  •   
Max MD
  •   
Allen SaundersChange Healthcare
  •   
Molly Malavey
  •   
Rich BlochLumedic
  •   

  •   
Thomas GrannanAzuba
  •   
Beth ConnorCMS
  •   
MA Health Data
  •   
Kellie Ruff
  •   

  •   
Mark Fleming
  •   
Kumar Elubandi
  •   
Daniel CawoodMCG
  •   
POCP
  •   
Availity
  •   
MITRE/ CodeX
  •   
Sharon Hensley Alford
  •   
Tarun KumarVizlitics
  •   
MITRE
  •   
Tyler HigginsCerner
  •   
Alex ThaiLab Corp
  •   
Henry MeyneAvaility
  •   
Cheryl McIvor
  •   
Carey RohrerLabCorp
  •  
Bridget O'Donnell
  •  
Sumit Agarwal



Present

Name

Affiliation

  •   
Rachel GoldsteinCAQH
  •   
Ralph Saint-PhardHealow
  •   
Susan LestinaAHA
  •   
Briana BarnesScope Info Tech
  •   
Cerner
  •   
Cassandra Bell
  •   
Deepthi ReddyMettle Solutions
  •   
Cognosante
  •   
Humana
  •   
Prashanth Golconda
  •   
Rajesh GodavarthiMCG
  •   
Rim Cothren
  •   
Scott LawrenceCMS
  •   
Chris JonesHumana
  •   
Christina BorgLumeris
  •   
Julie MaasEMR Direct
  •   
Kathleen Connor
  •   
Matt ReidAMA
  •   
Mike BerkmanCoverMyMeds
  •   
Monse SerenilHumad
  •   
Rian RaineyCoverMyMeds
  •   
Sandra StuartKP
  •   
Sheryl TurneyAnthem
  •   
Wanda Govan-JenkinsHHS
  •   
Chris HutchinsonCoverMyMeds
  •   
Anna MeisheidCMS
  •   
Cyrus PeyrovianFastAuth
  •   
Janice BakosAetna
  •   
SureScripts
  •   
Gevity
  •   
Melanie JonesCMS
  •   
eClinicalWorks
  •   
Tammy SchreinerWPS Health Solutions
  •   
Amy PetersonHumana
  •   
Dave Trotter, MD
  •   
BCBSIL
  •   
Renee FullerIBX
  •   
Helina Gebremariam
  •   
Cambia
  •   
Intepro
  •   
Carradora
  •   

  •   

  •   
MaxMD
  •   
Cindy Monarch BCBSM
  •   
Dawn PerreaultBCBSM
  •   
Cognizant
  •   
Mitre
  •   

  •   
Missy BoserSurescripts
  •   
CAQH
  •   
Phranil MehtaeClinicalWorks
  •   
Dylan TuggleBCBST
  •   
JPSys
  •   
Mario JarrinChange Healthcare
  •   
Jim AdamsonArkansas Blue Cross
  •   
Brian PoteetBCBST
  •   
Tony LaurieNoridian
  •   
Optum
  •   
Bonnie SirottZeOmega
  •   
MCG
  •   
ESAC
  •   
Edifecs
  •   
Katherine LuskChildrens
  •   
Michael NovalesBCBSIL
  •   
KPMG
  •   
Anupam ThakurBCBS FL
  •   
Cathy PlattnerKP
  •   
Srinivasarao EadaraesMD
  •   
Availity
  •   
ZeOmega
  •   
Dennis ZanettiNantHealth
  •   
Haris BegCambia
  •   
Kishore MetlaMettle Solutions
  •   
Sunitha Godavarthi
  •   

  •   
C-HIT
  •   
SriniesMD
  •   
Anthem
  •   
Kumar SourabhGRSI
  •   
Julia ChanCW Global Consult
  •   
Ric LightHumana
  •   
UHC
  •   
Anil VezendlaMCG
  •   
Ken LordBook Zurman
  •   

Scott Robertson


  •   
Christopher GraconIndependent Health
  •   
Gary GryanMitre
  •   
Mitre
  •   
Marty StaszakVoluware
  •   
Stephen ReckfordGRSI
  •   
Joe HamiltonUnity Point
  •   

  •   
Dave Foster
  •   
Betty SullivanAllscripts
  •   
Cigna
  •   
Juzer KhorakiwallaUHC
  •   
Celine LefebvreAMA
  •   
Eshaa DhalleClinicalWorks
  •   

  •   
Aakash DeliwalaeClinicalWorks
  •   
Chris JohnsonBCBSAL
  •   
Megan RileyMITRE
  •   

  •   
Crystal HyattTransunion
  •   
Epic
  •   
AEGIS
  •   
BCBSM
  •   
Pawan RegmiRush
  •   
Rajesh GarlapatiRush
  •   
Rush
  •   
Scott HoltItiliti Health
  •   
Cigna
  •   
Cigna
  •   
UHC
  •   
Steve KirbyCoverMyMeds
  •   
Neena DakuaWPS Health
  •   
Evicore
  •   
Med Allies
  •   
Laurie Henson
  •   
Healow
  •   
Bapi Beshara
  •   
David DelanoMA Health Data
  •   

  •   
Vishnu
  •   
MITRE
  •   
Daniel C
  •   
Swapnil
  •   

  •   

  •   
Connie SchmidtCerner
  •   

  •   
Mary MartinCancer Linq
  •   
Dave DelanoNEHEN